The issue in California is that is you have a more limited amount of funds—do you require people to spend a significant percentage of their income for high-deductible policies that many low- and middle-income folks won’t find of value—or do you concentrate those limited funds to provide quality coverage for as many as possible in Stage 1, and come back for a Stage 2? At the federal level, those funding issues are more easily dealt with.Enforcement is an issue, and here the candidates are pretty similar with the positive framework: automatic enrollment, mostly through group coverage. (Again, easier at the federal level, where all three have created/expanded public insurance options as the default that people can be automatically enrolled into.)
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